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DR. OLUWASEUN ADELANKE ADETAYO M.D.
NPI 1710190285
Plastic Surgery in Loma Linda, CA

Active since May 08, 2007PECOS Enrolled
11234 ANDERSON ST, LLUMC HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354(909) 558-4000 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Oluwaseun Adelanke Adetayo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OLUWASEUN ADELANKE ADETAYO M.D. (NPI 1710190285) is an individual plastic surgery provider in Loma Linda, California, licensed in Wisconsin (3829) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Neenah.

NPPES Registry Identity

NPI1710190285
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameDR. OLUWASEUN ADELANKE ADETAYOCredential: M.D.
Location Address11234 ANDERSON ST, LLUMC HOUSE STAFF OFFICE CP 21005Loma Linda, CA 92354-2804
Mailing Address11234 Anderson St, Llumc House Staff Office Cp 21005Loma Linda, CA 92354-2804
Phone(909) 558-4000
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
✔ NPI 1710190285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WI · 3829
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
11234 ANDERSON ST, Loma Linda, CA 92354
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Secondary Practice Location 1

Location 1130 2nd StNeenah, WI 54956-2883 · Phone (920) 358-1223

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Oluwaseun Adelanke Adetayo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oluwaseun Adetayo's NPI number?

The NPI number for Oluwaseun Adetayo is 1710190285. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Oluwaseun Adetayo located?

Oluwaseun Adetayo practices at 11234 Anderson St Llumc House Staff Office Cp 21005, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is Oluwaseun Adetayo's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Oluwaseun Adetayo enrolled in Medicare?

Yes. Oluwaseun Adetayo is registered in the Medicare PECOS enrollment system.

What insurance does Oluwaseun Adetayo accept?

Health plans from CareSource (Common Ground Healthcare) and Network Health list Oluwaseun Adetayo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oluwaseun Adetayo was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.